Hermosa Street Surgery, A Medical Clinic

NPI 1073753406 - Clinic/Center - 261QA1903X

NPI Details
NPI 1073753406
Enumeration Date 02/25/2009
Last Updated 02/25/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLIAM WILLIAM
Position OWNER
Phone (805) 983-1999
Fax (805) 485-9490
Practice Location
1801 SOLAR DRIVE
#160
OXNARD CA, 93030, US
Phone (805) 983-1999
Fax (805) 485-9490
Business Location
11999 SAN VICENTE BLVD
STE. 440
LOS ANGELES CA, 90049-5131, US
Phone (310) 471-5852
Fax (310) 472-9582
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Hermosa Street Surgery, A Medical Clinic NPI is 1073753406, taxonomy code is 261QA1903X Hermosa Street Surgery, A Medical Clinic physically located at 1801 Solar Drive, Oxnard CA, 93030. NPI Number 1033115704 has the healthcare provider type.

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1073753406 NPI number is provided on an as is basis without warranty of any kind. 1073753406 is maintained by the National Plan & Provider Enumeration System. The contents of Hermosa Street Surgery, A Medical Clinic are for informational purposes only.